Active NPI
Jeffrey R Geer OD PC
Doing business as Family Eyecare Center
- Optometrist
- Beech Island, SC
National Provider Identifier
1508921495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 974
- Legal business name
- JEFFREY R GEER OD PC
- Doing business as
- Family Eyecare Center
- Practice address
- 4592 Jefferson Davis Hwy
Beech Island, SC 29842-4872 - Phone
- (803) 593-4508
- Fax
- (803) 593-4504
- NPI assigned
- Dec 22, 2006
- Last updated
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Robert Geer, OD
- Title
- Owner
- Phone
- (803) 593-4508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 974 | SC | Primary |
Addresses
Primary practice location
4592 Jefferson Davis Hwy
Beech Island, SC 29842-4872
Mailing address
PO Box 280
Clearwater, SC 29822-0280
Phone (803) 593-4508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9892 | Medicaid | SC |
Other names 1
- Family Eyecare Center
National Provider Directory
National Provider Directory- Tax ID family
- Family Eyecare Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
4592 Jefferson Davis Hwy
Beech Island, SC 29842
Phone (803) 593-4503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1508921495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "CLEARWATER",
"state": "SC",
"postal_code": "298220280",
"telephone_number": "803-593-4508",
"fax_number": "803-593-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4592 JEFFERSON DAVIS HWY",
"city": "BEECH ISLAND",
"state": "SC",
"postal_code": "298424872",
"telephone_number": "803-593-4508",
"fax_number": "803-593-4504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY R GEER OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "GEER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-593-4508",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": "974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9892",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Eyecare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beech Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.